Monday, October 27, 2008

Week 2 - friday

This morning was an interesting challenge for me because it was my second chance to take on a new patient, carry out an initial assessment, formulate a plan and decide on appropriate treatment for the patient. Second chance means i get to improve on my first attempt. I looked at the patients notes to formulate a patient handover, a skill i am increasingly confident with. Working at RPH also gives me the opportunity to look at as many xrays as possible which i am trying to make the most of. Anyway moving onto the subjective assessment... which i think was fairly good. I feel much more comfortable already 'chatting' with my patient, which makes it easier to formulate the appropriate questions quickly. I also find it important to probe into the information which is important for the particular patient. I understand the importance of gaining a social history and that it is so beneficial to ask questions regarding this to begin with to develop rapport with the patient. I find it also useful to try and to relate to the patient in some way especially regarding their goals which is usually fairly simple. To improve my subjective assessment i need more and more practice to develop confidence and be able to think on the spot without pausing or checking my assessment sheet for which question needs to be ask next.
Also i need to explain certain things better to my patients such as the VAS.

Today was good, i feel like I'm slowly improving but there is so much to learn and it is very overwhelming.

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